Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $1,180.80 / $1,879.20	Facility		$738.00	$1,180.80	$1,879.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.40 / $554.40 / $1,317.60	Professional		$473.40	$554.40	$1,317.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $842.40 / $1,008.00 / $1,274.40	Facility		$842.40	$1,008.00	$1,274.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $1,094.40	Professional		$720.00	$720.00	$1,094.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.57 / $1,722.24 / $3,314.67	Facility		$913.57	$1,722.24	$3,314.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $876.87 / $1,050.58	Professional		$864.00	$876.87	$1,050.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,008.00 / $1,512.00	Professional		$720.00	$1,008.00	$1,512.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $936.00 / $936.00	Professional		$936.00	$936.00	$936.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $979.20 / $979.20 / $1,058.40	Professional		$979.20	$979.20	$1,058.40
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $720.00	Professional		$302.39	$432.00	$720.00